Individual provider · Type 1 NPI
Kimberly Louise Bumper
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Oxford, NC
Practice location
115 Frost St
Oxford, NC 27565-3441
Fax (191) 969-3696
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | MHL-039-042 (NC) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1679606149
Kimberly Louise Bumper's National Provider Identifier is 1679606149, issued on Mar 14, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Oxford, NC. The record was last updated on Jul 8, 2007.